Question

Discuss the impact that you predict will occur for medical care providers with the increased scrutiny of Medicare patient outcomes by the Centers for Medicare and Medicaid Services (CMS).

Focus your discussion on the potential institutional impact of non-reimbursable care having to be administered by providers,

SUCH AS

Readmits for infections, or readmits within a certain time limit after discharge for the same diagnosis.

add references

Answer 1

• The medical care providers will handle the patient with great care and safety , follow handwashing techniques and efficient cleanliness to prevent any nosocomial infection which may be a factor for readmission in case of a post operative patient
• The scrutiny improves the performance of the institution
• The observation by CMS helps in reducing any adverse patient safety events like falls , bedsores, medication errors.
• When a medical care provider provide wide range of elements of health services the re admission may decrease
• Advancement in the technologies are implemented to provide efficient care.
• Co ordinated care will be provided by analysing and implementing the priority care needed to the patient
• It may lead the  encourage healthcare providers to deliver the best care at the lowest cost.
• Healthcare organizations will formulate their compliance programs to actively monitor their billing process
• The providers will be keen encountering any poor care which leads to readmissions. Poor quality care will definitely lead to readmission which may be a loss to the institution.
• Providers has start to implement more value-based care necessities, such as data analytics tools to monitor quality improvements, more strong population healthcare management techniques, and upfront medical billing strategies as they are accountable to the service rendered.

Ref:

https://revcycleintelligence.com/news/how-the-affordable-care-act-impacted-healthcare-revenue-cycle

https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2009-Fact-sheets-items/2009-07-09.html